頁籤選單縮合
題名 | 呼吸胸腔科門診病患藥物吸入技術衛教成效=Evaluation of the Effectiveness of Inhaler Technique Education in the Respiratory Outpatient Department |
---|---|
作者 | 吳沼漧; 陳瓊珠; 杜美蓮; 賴永發; Wu, Chao-chien; Chen, Chiung-chu; Tu, Mei-lien; Lai, Young-fa; |
期刊 | 胸腔醫學 |
出版日期 | 20020600 |
卷期 | 17:2 2002.06[民91.06] |
頁次 | 頁114-119 |
分類號 | 418.6343 |
語文 | chi |
關鍵詞 | 定量噴霧劑; 乾粉吸入劑; 藥物吸入技術衛教; 專職呼吸治療師; Metered-dose inhaler; MDI; Dry-powder inhaler; DPI; Inhaler technique education; Special respiratory therapist; |
中文摘要 | 目的:評估呼吸胸腔科門診病患使用定量噴霧劑(MDI)及乾粉吸入劑(DPI)藥物吸入技術衛教之成效。 病患及設置:針對本院呼吸胸腔科曾接受過定量噴霧劑(MDI)或乾粉吸入劑(DPI)藥物吸入衛教之門診病患,由專職呼吸治療師進行藥物吸入技巧評估及修正衛教。 措施及測量:利用一份病患正確使用各種吸入藥物方法及再次檢視修正的評估表(如附件一),作為176位門診病患藥物吸入技術的評估工具,並對病患使用之不同藥物吸入形式(MDI或DPI)分別作評估。 結果:經由此評估表之統計結果發現,病患正確吸藥的技巧與年齡、首次諮詢對象、吸入藥物種類有明顯關係,但經由衛教後,病患吸藥技巧可立即獲得改善。 結論:於評估門診病患藥物吸入技巧時,常可見到病患不當的吸藥技巧,進而影響病情的改善,但大多數的病患皆可經由衛教學習正確的藥物吸入技巧,由專人給予正確的衛教對病患而言是有益的。 |
英文摘要 | Background: Inhaler therapy 【metered-dose inhaler (MDI) or dry-powder inhaler (DPI)】 is the primary method of managing asthma and chronic obstructive pulmonary disease (COPD). The proper technique of using the inhaler can control the disease. This study was undertaken to evaluate the effectiveness of inhaler technique education by different primary consultants, and to evaluate the impact of inhaler technique reeducation by the special respiratory therapist. Patients and Setting: 176 outpatients were included, with 55 males (aged 62±14 years) [mean±standard deviation], and 36 females (aged 52±16 years) using MDI, and 38 males (aged 53±16 years), and 47 females (aged 54±14 years) using DPI for their asthma or COPD. All patients had received some instruction on the technique of using the MDI or DPI from doctors, nurses, or pharmacists. Interventions and Measurements: A checklist on the technique of using the MDI and DPI was used to evaluate the properness of inhaler usage by a special respiratory therapist. Patients with an incorrect technique were given reeducation, and reevaluated by the special respiratory therapist 2 to 4 weeks later. Results: Incorrect inhaler technique is very common among these patients. To test the difference in the inhaler technique before and after the reeducation by the special respiratory therapist, the two-paired t test was used. These results showed there was a significant difference in the technique of using the inhaler before and after the reeducation, no matter whether the inhaler was a MDI (t=9.87 p<0.001) or DPI (t=9.69 p<0.001) . We also found the effectiveness of education regarding inhaler usage differed among the technique from various primary consultants. Conclusions: Most patients and a more correct inhaler technique after education by the special respiratory therapist. We strongly recommend that every hospital have a special program for patient inhaler technique education. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。